Individual
DR. JEFFREY LORNE BOBROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3960 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-2449
(757) 668-4648
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7007
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101229312
VA
208000000X
Pediatrics Physician
050867
CT
208000000X
Pediatrics Physician
265453
NY
208000000X
Pediatrics Physician
49488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010014743
—
VA
01
—
370003288
MEDICARE ID, TYPE UNSPEC
MN
05
—
507190000
—
MN
Enumeration date
01/25/2006
Last updated
06/27/2023
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